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Remote Occupational Therapy Utilization Review Jobs in Mapleton, UT

firsthand Health

Remote Triage Nurse

Provo, UT · On-site +1

$80K/yr

... are utilization. Together with our health plan partners, we are changing the way our society ... Such requests will be subject to review and approval by the Company, and exemptions will be granted ...

All JobsOccupational Therapy Utilization Review JobsRemote Occupational Therapy Utilization Review JobsRemote Occupational Therapy Utilization Review Jobs in Mapleton, UT

Remote Occupational Therapy Utilization Review information

See Mapleton, UT salary details

$21

$42

$63

How much do remote occupational therapy utilization review jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for remote occupational therapy utilization review in Mapleton, UT is $42.80, according to ZipRecruiter salary data. Most workers in this role earn between $36.49 and $48.08 per hour, depending on experience, location, and employer.

What is a remote occupational therapy utilization review?

A Remote Occupational Therapy Utilization Review job involves evaluating occupational therapy treatment plans and medical records to ensure they meet insurance guidelines and medical necessity. Professionals in this role work remotely to review documentation, provide recommendations, and collaborate with healthcare providers and insurance companies. Their main goal is to ensure appropriate care while preventing unnecessary costs. Strong analytical skills and knowledge of occupational therapy practices and insurance regulations are essential for this role.

What does a remote occupational therapy utilization review do?

Professionals in Remote Occupational Therapy Utilization Review primarily review clinical documentation to determine the medical necessity and appropriateness of occupational therapy services. Typical daily tasks include analyzing therapy notes, applying payer criteria to case reviews, communicating with providers for clarifications, and documenting decisions within electronic systems. You may also participate in team meetings, provide feedback to therapy staff, and stay updated on changing regulations or insurance policies. This role requires a balance of independent work and frequent collaboration with other utilization reviewers, case managers, and healthcare providers to ensure the highest quality of care and compliance.

What are the key skills and qualifications needed to thrive in remote occupational therapy utilization review?

To thrive as a Remote Occupational Therapy Utilization Review professional, you need a background in occupational therapy, solid clinical assessment skills, and familiarity with medical necessity criteria such as Medicare or insurance guidelines. Experience using electronic medical record (EMR) systems, utilization review software, and knowledge of relevant certifications like OTR/L or CHT are typically required. Attention to detail, critical thinking, and strong written communication skills are highly valued in this role. These abilities are crucial to making accurate determinations, maintaining compliance, and effectively collaborating with healthcare teams and insurers from a remote setting.

What cities near Mapleton, UT are hiring for Remote Occupational Therapy Utilization Review jobs? Cities near Mapleton, UT with the most Remote Occupational Therapy Utilization Review job openings:
Remote Occupational Therapy Utilization Review jobs near you
Infographic showing various Remote Occupational Therapy Utilization Review job openings in Mapleton, UT as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 89% Physical, 4% Hybrid, and 7% Remote job distribution, with an average salary of $89,028 per year, or $42.8 per hour.

Remote Triage Nurse

firsthand Health

Provo, UT • On-site, Remote

$80K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 21 days ago

Job description

firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual where they are and walking with them side by side as a trusted guide and partner on their journey to better health.
firsthand's team members use their lived experience to build trust with these individuals and support them in reconnecting to the healthcare they need, while minimizing inappropriate healthcare utilization. Together with our health plan partners, we are changing the way our society supports those most impacted by SMI.
We are cultivating a team of deeply passionate problem-solvers to tackle significant and complex healthcare challenges with us. This is more than a job-it's a calling. Every day, you will engage in work that resonates with purpose, gain wisdom from motivated colleagues, and thrive in an environment that celebrates continuous learning, creativity, and fun.
The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support to firsthand individuals and staff, while also supporting outpatient care coordination. This is primarily a day-shift role (8 hours/day, 8:30-4:30 PST), with occasional potential for nights or weekends. When not managing acute issues, Triage Nurses focus on care coordination, training, and related administrative tasks.
Responsibilities of a Triage Nurse include:
  • Triage and Escalation: Manage inbound clinical issues from firsthand staff and patients via phone; triage appropriately and escalate emergencies immediately.
  • Collaboration: Work closely with peer mental health workers, social workers, and APPs to address acute issues comprehensively.
  • Coordination: Coordinate care with patients' other providers to ensure seamless health management.
  • Training: Develop and deliver training on basic medical topics for peer mental health workers and social workers.
Triage Nurses should have:
  • Strong triage and prioritization skills, with the ability to rapidly assess and determine the appropriate level of care.
  • Problem-solving expertise with a creative, patient-centered approach.
  • Ability to provide condition-specific patient education and self-management guidance.
  • Adaptability to varying team cultures and processes.
  • Empathy, compassion, and approachability in patient and team interactions.
Required experience includes:
  • Active RN license through a Nurse Licensure Compact (NLC) state and willingness to obtain licensure in non-compact states.
  • Bachelor of Science in Nursing (BSN) or Associates of Nursing (ASN)
  • At least 3 years of Emergency Room (ER) experience
  • Experience working with populations facing challenges such as serious mental illness, behavioral health conditions, and/or substance use disorders
  • Care management and coordination experience.
Bonus Points for:
  • Psychiatric-Mental Health Nursing Certification (PMH-BC)
  • Washington state RN license

Base salary range:
$80,000-$80,000 USD
We firmly believe that great candidates for this role may not meet 100% of the criteria listed in this posting. We encourage you to apply anyway - we look forward to begin getting to know you.
BenefitsFor full-time employees, our compensation package includes base, equity (or a special incentive program for clinical roles) and performance bonus potential. Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, 15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond), and a supportive and inclusive culture.
Vaccination Policy
Employment with firsthand is contingent upon attesting to medical clearance requirements, which include, but may not be limited to: evidence of vaccination for/immunity to COVID-19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus and Diphtheria. All employees of firsthand are required to receive these vaccinations on a cadence/frequency as advised by the CDC, whereas not otherwise prohibited by state law.
New hires may submit for consideration a request to be exempted from these requirements (based on a valid religious or medical reason) via forms provided by firsthand. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed.
Unfortunately, we are not able to offer sponsorship at this time.
firsthand Health will only contact candidates from email addresses ending in @firsthandcares.com. Any communication from another domain claiming to represent firsthand is fraudulent. We will never ask for payment or sensitive financial information during the hiring process. If you receive suspicious outreach, please do not respond.

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